Provider Demographics
NPI:1083408561
Name:MEDPLUS TRANSPORT INC
Entity type:Organization
Organization Name:MEDPLUS TRANSPORT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DY BUCO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:818-983-2412
Mailing Address - Street 1:1501 S RAYMONE AVE SUITE K
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:747-202-1956
Mailing Address - Fax:747-204-2240
Practice Address - Street 1:1501 S RAYMOND AVE SUITE K
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:747-202-1956
Practice Address - Fax:747-204-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)